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Individual

DR. MICHAEL R. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5114
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-5114

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A80503
CA
207RC0000X
Cardiovascular Disease Physician
Primary
80503
CA

Other

Enumeration date
07/25/2006
Last updated
11/02/2021
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